Rachel Becker-Warner
Individual provider Active NPI Psychologist · Saint Paul, MN
NPI 1083065080 · NPPES record last updated May 9, 2024
Key facts
- NPI
- 1083065080
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- LP5988 (MN)
- Practice address
- 435 Phalen Blvd
Saint Paul, MN 55130-5302 - Phone
- (651) 254-8500
- Fax
- (651) 254-8504
- NPI assigned
- Jun 30, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 16
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Group Health Inc
Practice addresses (Care Compare)
401 Phalen Blvd
Saint Paul, MN 55130-5302
Phone (651) 254-7400
435 Phalen Blvd
Saint Paul, MN 55130-5302
Phone (651) 291-2848
8600 Nicollet Ave
Bloomington, MN 55420-2824
Phone (952) 884-1148
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160825000009 | MN | Practitioner - Clinical Psychologist | 4880989110 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairview Express Care | Current | Accepting new patients | |
| Group Health Plan, Inc. | Current |
Accepting new patients | |
| Fairview Express Care | Current |
Accepting new patients | |
| Group Health, Inc. | Current | Accepting new patients | |
| Fairview Express Care | Current |
Accepting new patients | |
| Group Health, Inc. | Current |
Accepting new patients | |
| Q Collective, LLC | Current | Accepting new patients |
Locations
720 Washington Ave SE
Ste 300
Minneapolis, MN 55414
Phone (612) 884-0769
8600 Nicollet Ave S
Minneapolis, MN 55420
Phone (952) 887-6600
1300 S 2nd St
Ste 180
Minneapolis, MN 55454
Phone (612) 625-1500
720 Washington Ave SE
Minneapolis, MN 55414
Phone (612) 883-0649
717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617
8170 33rd Ave S
#21110Q
Minneapolis, MN 55425
Phone (952) 883-5375
435 Phalen Blvd
Saint Paul, MN 55130
Phone (651) 254-3200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | LP5988 | MN | Yes |
Addresses
Primary practice location
435 Phalen Blvd
Saint Paul, MN 55130-5302
Mailing address
8170 33Rd Ave S
Ms 21110Q
Bloomington, MN 55425-4516
Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 9, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.